NPI | 1700104379 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY LOU HENDRIX Owner 303-695-7873 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 47375) |
Enumeration Date | 2010-05-06 |
Last Update Date | 2012-04-16 |